Hi, I have fairly uneven breasts and moderate pectus excavatum. I just got my first consultation for surgery the other day and the surgeon rated them to be about 330CCs different. The smaller one is also tuberus. I also learned that my shoulders are a bit uneven because of the weight difference. Since this all technically stems from a deformity, would it be possible to have insurance cover at least a portion? How do I go about this? (I have CIGNA ppo) Advice is appreciated. Thank you!
Answer: Pectus excavatum Surgery for correction of pectus is usually covered by insurance if it is severe enough. Getting breast implants with a mild or moderate pectus is unlikely to be covered, but you should contact your insurance carrier to be sure.
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Answer: Pectus excavatum Surgery for correction of pectus is usually covered by insurance if it is severe enough. Getting breast implants with a mild or moderate pectus is unlikely to be covered, but you should contact your insurance carrier to be sure.
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February 21, 2018
Answer: Breast asymmetry due to pectus excavatum - can I get insurance to cover? Thank you for the question. Patients with pectus excavatum often do very well with breast augmentation. The use of different sizes/profile breast implants are often very helpful when it comes to improving breast symmetry. In my experience, breast implants tend to help “camouflage” the concavity, making the cleavage area look deeper. Often times postoperatively is hard to know that the patient initially presented with pectus excavatum. Often, patients with pectus excavatum have medially sloped chest walls ( sloped towards the cleavage area); care must be taken during the breast implant pocket dissection to avoid the implants coming together too close in the sternal area. Also, patients with pectus excavatum may have their nipple/areola complexes relatively medially positioned on their breasts; without intervention this inward leaning appearance of the nipple/areola does not improve with breast augmentation surgery. I would suggest that you meet with well experienced board-certified plastic surgeons; ask to see lots of examples of his/her work and communicate your goals carefully as well. Insurance company involvement is unlikely. Best wishes.
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February 21, 2018
Answer: Breast asymmetry due to pectus excavatum - can I get insurance to cover? Thank you for the question. Patients with pectus excavatum often do very well with breast augmentation. The use of different sizes/profile breast implants are often very helpful when it comes to improving breast symmetry. In my experience, breast implants tend to help “camouflage” the concavity, making the cleavage area look deeper. Often times postoperatively is hard to know that the patient initially presented with pectus excavatum. Often, patients with pectus excavatum have medially sloped chest walls ( sloped towards the cleavage area); care must be taken during the breast implant pocket dissection to avoid the implants coming together too close in the sternal area. Also, patients with pectus excavatum may have their nipple/areola complexes relatively medially positioned on their breasts; without intervention this inward leaning appearance of the nipple/areola does not improve with breast augmentation surgery. I would suggest that you meet with well experienced board-certified plastic surgeons; ask to see lots of examples of his/her work and communicate your goals carefully as well. Insurance company involvement is unlikely. Best wishes.
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February 21, 2018
Answer: Breast asymmetry due to pectus excavatum - can I get insurance to cover? Thank you for the question. Insurance usually does not cover this kind of cosmetic surgery. It is best to consult with a board certified plastic surgeon. Good luck.
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February 21, 2018
Answer: Breast asymmetry due to pectus excavatum - can I get insurance to cover? Thank you for the question. Insurance usually does not cover this kind of cosmetic surgery. It is best to consult with a board certified plastic surgeon. Good luck.
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February 20, 2018
Answer: Surgical options Thank you for your question.It is hard to answer if an insurance company will pay for anything, especially now when they do not want to pay for anything that is not life or death. I would recommend getting the diagnosis and procedure codes from your doctor, then you can call the insurance to see if these are covered codes. If there is a possibility for them to be covered then the doctor can submit your information to get everything authorized through the insurance prior to your procedure. Good luck.
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February 20, 2018
Answer: Surgical options Thank you for your question.It is hard to answer if an insurance company will pay for anything, especially now when they do not want to pay for anything that is not life or death. I would recommend getting the diagnosis and procedure codes from your doctor, then you can call the insurance to see if these are covered codes. If there is a possibility for them to be covered then the doctor can submit your information to get everything authorized through the insurance prior to your procedure. Good luck.
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February 26, 2018
Answer: Insurance coverage for breast augmentation Generally speaking, breast augmentation for asymmetries related to pectus deformities are not considered medically necessary so it would be difficult to obtain coverage for your procedure. That being said, you can always apply to your insurance company and see what happens. Your surgeon will need to send in a letter and perhaps some corroborating photos to support your case for coverage.
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February 26, 2018
Answer: Insurance coverage for breast augmentation Generally speaking, breast augmentation for asymmetries related to pectus deformities are not considered medically necessary so it would be difficult to obtain coverage for your procedure. That being said, you can always apply to your insurance company and see what happens. Your surgeon will need to send in a letter and perhaps some corroborating photos to support your case for coverage.
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